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Tuesday, November 10, 2015

Homeopathy for Oligospermia

Homeopathy for Oligospermia

Oligospermia or Oligozoospermia means a condition of reduced
number of sperm cells (spermatozoa) while Azoospermia, means no sperm in the
ejaculate of the male. The normal range of sperm count is between 20 millions/ml
to 200 millions/ml. The sperm count below 20 millions/ml indicates Oligospermia.Low
concentration of sperms in the semen called as oligosperma and complete
absence is azoospermia. It is a common finding in male infertility.
Often this may also show significant abnormalities in sperm morphology
and motility

Sterility in male is responsible for the infertility of
approximately one half of all childless marriages. The cause is usually
defective development of the germinal epithelium in the seminiferous tubules,
with Oligospermia or Azoospermia but may follow hypogonadism due to antibodies
to sperms. Klinefelter’s syndrome is almost invariably associated with
Azoospermia. The additional X chromosome may be recognized by examination of
buccal smear for Barr bodies, but confirmation requires a full karyotype
analysis. (3)

In most Azoospermia patients where there is defective
spermatogenesis due to primary testicular dysfunction FSH level will be high. If
FSH level is normal it suggests possibility of obstruction. If semen has
decreased fructose concentration, it suggests obstruction to fluid coming from
seminal vesicles.

There are four major causes for lack of sperm production viz.
Hormonal problems, Testicular failure, Varicocele and Sperm delivery problems:-(2)

1. Hormonal problems: Spermatogenesis may be severely
reduced or absent in absence of pituitary hormones required to stimulate
testicles for it. Androgens (steroids) taken by men (oral or injectable) for
bodybuilding suppresses the production of pituitary hormones required for
spermatogenesis. If Follicle stimulating hormone (FSH) level is normal, it
suggests obstruction while elevated FSH indicates decreased Spermatogenesis.
Testosterone, Prolactin, Luteinizing hormone (LH) and Thyroid stimulating
hormone (TSH) also indicate a man’s hormonal status.

2. Testicular failure: This is inability of germinal
epithelium of seminiferous tubules epithelium of the testicle to make adequate
numbers of mature sperm. It may occur at any stage in sperm production due to
genetic abnormality.

a. Sertoli Cell Syndrome-Testicle may lack the cells that divide to form sperm.

b. Maturation arrest-Inability of the sperm to complete their development.

Testicular biopsy can be performed if a primary testicular
problem is suspected. Genetic testing is essential for specific genetic
abnormalities on the male chromosomes.

3. Varicocele: Dilated veins in the scrotum due to
inadequate drainage of blood leads to pooling of extra blood in scrotum
resulting in reduced spermatogenesis. Varicocele can be directly visualized on
physical examination, but Ultrasonography is confirmatory. Physical examination
can also reveal a dilated epididymis indicating blockade, severely diminished
size of the testicles indicating defective germinal epithelium of seminiferous
tubules and congenital bilateral absence of the vas deferens (CBAVD).

4. Neurological damage: Surgery, diabetes, or spinal cord
injury may prevent emission process in which sperms are deposited in urethra
before real ejaculation. Urinalysis can rule out backward ejaculation of the
sperm into the bladder that can be washed out during micturition after
ejaculation.

5. Sperm delivery problems: Sperm delivery complications
are due to problem with ductal system that carries the sperm or with ejaculation
or congenital bilateral absence of the vas deferens (CBAVD). Physical
examination can reveal a dilated epididymis indicating block or blockade may be
in muscular vas deferens. Severely diminished size of the testicles indicating
defective germinal epithelium of seminiferous tubules. Mechanical blockade
during hernia or hydrocele repairs are also likely. A transrectal ultrasound can
rule out blockade of the ejaculatory duct. Dilated seminal vesicles indicate non–emptying
of semen.

Diagnosis

semen analysis performed on two occasions.
As per old diagnostic criteria sperm concentrations of less than 20 million sperm/ml were considered low or oligospermic
Recently, the WHO reassessed diagnostic criteria and it is less than 15
million sperm / ml, consistent with the 5th percentile for fertile men.
Sperm concentrations fluctuate and Oligospermia may be temporary or permanent.

Symptoms of Oligospermia

The following are some of the symptoms of Oligospermia:Pre-testicular causes

Agnus castus:This
remedy may be helpful if problems with impotence develop after a man
has led a life of intense and frequent sexual activity for many years. A
cold sensation felt in the genitals is a strong indication for Agnus castus.
People who need this remedy are often very anxious about their health
and loss of abilities, and may have problems with memory and
concentration.

Argentum nitricum:This
remedy may be helpful if a man’s erection fails when sexual intercourse
is attempted, especially if thinking about the problem makes it worse.
People who need this remedy are often nervous and imaginative. A person
who needs Argentum nitricum is usually warm-blooded, with cravings for both sweets and salt.

Aurum Mur Natronatum:Psychogenic erectile dysfunction. It is useful when there is a decline of the
sexual powers, with periodic seminal emission and feeble erection or
complete impotency. The erections are weak and inefficient, patients
with hypochondria, melancholia and suicidal intent.

Caladium:This
remedy may be helpful to a man whose genitals are completely limp,
despite having sexual interest. Nocturnal emissions can occur without an
erection, even if dreams are not sex-related. A
person who needs this remedy often craves tobacco.

Causticum:This
remedy may be indicated if physical pleasure during sex has diminished
and sexual urges are reduced. The person feels tired and weak, and may
experience memory loss, with a compulsive need to check things (to see
that doors are locked, etc.) Prostate problems may be associated with
impotence, and urine may be lost when the person coughs or sneezes.

Conium Maculatum:Impotence,
insufficient erections, and absence of erections. Want of energy in
coition. Erections imperfect, and of too short duration. Easy emission
of semen, even without firm erections.
Dejection, after coition. Sometimes emission at mere presence of women.

Lycopodium:People
who need this remedy may have problems with erections because of worry,
and can also be troubled by memory loss. They often lack
self-confidence (though some may overcompensate by acting
egotistically). People who need this remedy often have digestive
problems with gas and bloating, and an energy slump in the late
afternoon and evening.

Medorrhinum:Impotency after suppression of gonorrhoea. Emission during sleep. Semen watery, causing no
stiffness of the linen. Pain, burning along urethra when semen discharges.

Muira Puama: It is used as a tonic and aphrodisiac. Erectile dysfunction with weakness and depression are covered.

Onosmodium:It is useful in priapiasm (penis is continually erect) and in cases of Psychic Impotency.

Phosphoricum Acidum:A
feeling of heaviness in glans especially when urinating. Absence of
sexual desire. Neurasthenia after sexual intercourse. Weakness of sexual
organs with onanism and little sexual desire.
Frequent and very debilitating pollutions. Onanism. Discharge of semen while straining at stool.

Sabal Serrulata:Discharge
of prostatic fluid. Pain in back much aggravates after coitus. Drawing
pains in spermatic cords ; shrunk testes. Penis shrunk and cold with
urinary troubles. Hard erection, slight twisting chordee as if stretched
from the root. Organs feel cold. Coitus painful at the time of
emission. Sexual neurotics.

Selenium metallicum:This
remedy is often helpful to men who have diminished sexual ability,
especially if the problem starts after a fever or exhausting illness.
The person feels weak and exhausted, but interest
is usually still present. Unusual hair-loss (body hair or eyebrows) can also suggest a need for Selenium.

Staphysagria:Gentle-natured,
quiet men with deep emotions may respond to this remedy. Problems with
impotence often occur from embarrassment or shyness. People who need
this remedy often have a history of
emotional suppression and very sensitive feelings.

The
above mentioned medicines are just a hint & should not be
considered as final remedies. A constitutional remedy and the guidance
of an experienced Homoeopath is always a better option & may help
bring balance to a person’s system, both emotionally and physically.